Trial Outcomes & Findings for Pharmacokinetic Study to Evaluate Double-Dose Levonorgestrel Emergency Contraception in Combination With Efavirenz-Based Antiretroviral Therapy or Rifampicin-Containing Anti-Tuberculosis Therapy (NCT NCT03819114)

NCT ID: NCT03819114

Last Updated: 2021-12-27

Results Overview

AUC for each participant was calculated from all available LNG concentrations measured over 8 hours using the linear up/log down version of trapezoidal rule (i.e., noncompartmental technique) using the software package Phoenix WinNonLin (Certara®). This version of the trapezoidal rule used linear interpolation between untransformed data up to Cmax, and between log-transformed data from Cmax through Clast. Assay lower limit of quantification (LLOQ) for LNG was 0.025 ng/mL; values \< LLOQ were imputed as 0 (if pre-dose) or as 0.0125 (if post-dose).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

122 participants

Primary outcome timeframe

Intensive LNG PK samples at pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours post-dose

Results posted on

2021-12-27

Participant Flow

Participants enrolled from 18 sites. Sites were located in the United States and internationally (Botswana, Brazil, Kenya, Malawi, South Africa, Thailand). The first participant accrued in May 2019, and the last participant accrued in November 2020.

Participants receiving EFV-based ART therapy were randomized between Group A (1.5mg dose of LNG) and Group B (3.0mg dose of LNG) in a 1:2 ratio using permuted blocks and institutional balancing. Participants living with HIV receiving DTG-based ART therapy and participants with TB receiving RIF-INH therapy were assigned to study groups C and D, respectively. Women with BMI greater than or equal to 30 kg/m2 were limited to no more than 5 within Groups B-D and no more than three within Group A.

Participant milestones

Participant milestones
Measure
A: LNG 1.5 mg Among Participants on EFV-based ART (Randomized)
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Participants on EFV-based ART (Randomized)
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Participants on DTG-based ART (Assigned)
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Participants on RIF-INH TB Therapy (Assigned)
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
Overall Study
STARTED
17
36
35
34
Overall Study
Received LNG Treatment
17
36
35
34
Overall Study
COMPLETED
17
35
33
34
Overall Study
NOT COMPLETED
0
1
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
A: LNG 1.5 mg Among Participants on EFV-based ART (Randomized)
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Participants on EFV-based ART (Randomized)
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Participants on DTG-based ART (Assigned)
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Participants on RIF-INH TB Therapy (Assigned)
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
Overall Study
Protocol Violation
0
1
1
0
Overall Study
Lost to Follow-up
0
0
1
0

Baseline Characteristics

Pharmacokinetic Study to Evaluate Double-Dose Levonorgestrel Emergency Contraception in Combination With Efavirenz-Based Antiretroviral Therapy or Rifampicin-Containing Anti-Tuberculosis Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
A: LNG 1.5 mg Among Participants on EFV-based ART (Randomized)
n=17 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Participants on EFV-based ART (Randomized)
n=35 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Participants on DTG-based ART (Assigned)
n=32 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Participants on RIF-INH TB Therapy (Assigned)
n=34 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
Total
n=118 Participants
Total of all reporting groups
Age, Continuous
42 years
n=5 Participants
36 years
n=7 Participants
34 years
n=5 Participants
25 years
n=4 Participants
34 years
n=21 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
35 Participants
n=7 Participants
32 Participants
n=5 Participants
34 Participants
n=4 Participants
118 Participants
n=21 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race/Ethnicity, Customized
Asian
9 Participants
n=5 Participants
20 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
33 Participants
n=21 Participants
Race/Ethnicity, Customized
Black (Non-Hispanic)
7 Participants
n=5 Participants
12 Participants
n=7 Participants
24 Participants
n=5 Participants
30 Participants
n=4 Participants
73 Participants
n=21 Participants
Race/Ethnicity, Customized
Hispanic or Latino (Regardless of race)
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
2 Participants
n=4 Participants
10 Participants
n=21 Participants
Race/Ethnicity, Customized
Multiple Races
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race/Ethnicity, Customized
White (Non-Hispanic)
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Region of Enrollment
Botswana
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
2 Participants
n=21 Participants
Region of Enrollment
Brazil
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
2 Participants
n=4 Participants
10 Participants
n=21 Participants
Region of Enrollment
Kenya
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
4 Participants
n=4 Participants
4 Participants
n=21 Participants
Region of Enrollment
Malawi
0 Participants
n=5 Participants
0 Participants
n=7 Participants
10 Participants
n=5 Participants
6 Participants
n=4 Participants
16 Participants
n=21 Participants
Region of Enrollment
South Africa
7 Participants
n=5 Participants
12 Participants
n=7 Participants
2 Participants
n=5 Participants
18 Participants
n=4 Participants
39 Participants
n=21 Participants
Region of Enrollment
Thailand
9 Participants
n=5 Participants
20 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
33 Participants
n=21 Participants
Region of Enrollment
United States
0 Participants
n=5 Participants
0 Participants
n=7 Participants
14 Participants
n=5 Participants
0 Participants
n=4 Participants
14 Participants
n=21 Participants
Gender Identity
Cisgender
17 Participants
n=5 Participants
35 Participants
n=7 Participants
32 Participants
n=5 Participants
34 Participants
n=4 Participants
118 Participants
n=21 Participants
Gender Identity
Transgender spectrum
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
HIV-1 Infection Status
HIV-1 infection present
17 Participants
n=5 Participants
35 Participants
n=7 Participants
32 Participants
n=5 Participants
0 Participants
n=4 Participants
84 Participants
n=21 Participants
HIV-1 Infection Status
HIV-1 infection absent
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
34 Participants
n=4 Participants
34 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Intensive LNG PK samples at pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours post-dose

Population: Participants who took assigned dose of LNG and prescribed doses of background drugs (ART or TB treatment) and who had LNG PK concentrations available over the sampling time frame.

AUC for each participant was calculated from all available LNG concentrations measured over 8 hours using the linear up/log down version of trapezoidal rule (i.e., noncompartmental technique) using the software package Phoenix WinNonLin (Certara®). This version of the trapezoidal rule used linear interpolation between untransformed data up to Cmax, and between log-transformed data from Cmax through Clast. Assay lower limit of quantification (LLOQ) for LNG was 0.025 ng/mL; values \< LLOQ were imputed as 0 (if pre-dose) or as 0.0125 (if post-dose).

Outcome measures

Outcome measures
Measure
A: LNG 1.5 mg Among Participants on EFV-based ART (Randomized)
n=17 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Participants on EFV-based ART (Randomized)
n=35 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Participants on DTG-based ART (Assigned)
n=32 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Participants on RIF-INH TB Therapy (Assigned)
n=34 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
LNG Area Under the Concentration-time Curve (AUC0-8h) Calculated Based on Intensive LNG PK Samples Obtained From Individual Participants
52.13 hours * ng/mL
Interval 36.72 to 88.27
102.13 hours * ng/mL
Interval 64.52 to 114.75
80.50 hours * ng/mL
Interval 66.64 to 125.06
124.39 hours * ng/mL
Interval 87.1 to 168.79

SECONDARY outcome

Timeframe: From Day 0 through study Day 28

Population: Participants who received LNG study treatment, grouped by LNG dose. LNG 1.5mg includes Group A (LNG 1.5 mg Among Participants on EFV-based ART (Randomized)) and Group C (LNG 1.5 mg Among Participants on DTG-based ART (Assigned)) participants. LNG 3.0mg includes Group B (LNG 3.0 mg Among Participants on EFV-based ART (Randomized)) and Group D (LNG 3.0 mg Among Participants on RIF-INH TB Therapy (Assigned)) participants.

Adverse events were Graded according to the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table), corrected Version 2.1, July 2017 and DAIDS AE Grading Table Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007. Relationship of AE to study treatment was determined by the site, study core team, and DAIDS clinical representative. AEs evaluated in this outcome fulfilled the below criteria: * Potentially or definitely related to LNG dose * Grade 3 or higher AEs * Grade 2 of higher nausea, diarrhea, menorrhagia or metrorrhagia, and ectopic pregnancies

Outcome measures

Outcome measures
Measure
A: LNG 1.5 mg Among Participants on EFV-based ART (Randomized)
n=52 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Participants on EFV-based ART (Randomized)
n=70 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Participants on DTG-based ART (Assigned)
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Participants on RIF-INH TB Therapy (Assigned)
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
Number and Percentage of Participants Experiencing Either a Serious Adverse Event (SAE) or Adverse Event (AE) Potentially or Definitely Associated With Single Dose LNG Administration.
2 Participants
2 Participants

SECONDARY outcome

Timeframe: Intensive LNG PK samples at pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, and 48 hours post-dose

Population: Participants who took assigned dose of LNG and prescribed doses of background drugs (ART or TB treatment) and who had LNG PK concentrations available over the sampling time frame.

Cmax for each participant was calculated as the maximum observed LNG concentration from LNG PK samples at pre-dose through 48 hours post-dose. Standard noncompartmental techniques were used to determine Cmax using the software package Phoenix WinNonLin (Certara®).

Outcome measures

Outcome measures
Measure
A: LNG 1.5 mg Among Participants on EFV-based ART (Randomized)
n=17 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Participants on EFV-based ART (Randomized)
n=35 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Participants on DTG-based ART (Assigned)
n=32 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Participants on RIF-INH TB Therapy (Assigned)
n=34 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
Maximum Concentration (Cmax) of LNG
15.10 ng/mL
Interval 11.2 to 24.0
24.90 ng/mL
Interval 16.2 to 29.6
18.65 ng/mL
Interval 14.05 to 26.15
28.01 ng/mL
Interval 23.0 to 39.6

SECONDARY outcome

Timeframe: Intensive LNG PK samples at pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, and 48 hours post-dose

Population: Participants who took assigned dose of LNG and prescribed doses of background drugs (ART or TB treatment) and who had LNG PK concentrations available over the sampling time frame.

Cmin for each participant was calculated as the minimum observed LNG concentration from LNG PK samples at pre-dose through 48 hours post-dose. Standard noncompartmental techniques were used to determine Cmin using the software package Phoenix WinNonLin (Certara®). Assay lower limit of quantification for LNG was 0.025 ng/mL; values \< LLOQ were imputed as 0 (if pre-dose) or as 0.0125 (if post-dose).

Outcome measures

Outcome measures
Measure
A: LNG 1.5 mg Among Participants on EFV-based ART (Randomized)
n=17 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Participants on EFV-based ART (Randomized)
n=35 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Participants on DTG-based ART (Assigned)
n=32 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Participants on RIF-INH TB Therapy (Assigned)
n=34 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
Minimum Concentration (Cmin) of LNG
0.25 ng/mL
Interval 0.13 to 0.37
0.56 ng/mL
Interval 0.19 to 1.08
1.49 ng/mL
Interval 0.8 to 3.07
0.41 ng/mL
Interval 0.17 to 0.74

SECONDARY outcome

Timeframe: Intensive LNG PK samples at pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, and 48 hours post-dose

Population: Participants who took assigned dose of LNG and prescribed doses of background drugs (ART or TB treatment) and who had LNG PK concentrations available over the sampling time frame.

Apparent oral clearance (CL/F) for each participant was calculated as CL/F = dose/AUC0-24 or CL/F = dose/AUC0-48 of the observed LNG concentration from LNG PK samples at pre-dose through 48 hours post-dose. Standard noncompartmental techniques were used to determine CL/F using the software package Phoenix WinNonLin (Certara®).

Outcome measures

Outcome measures
Measure
A: LNG 1.5 mg Among Participants on EFV-based ART (Randomized)
n=17 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Participants on EFV-based ART (Randomized)
n=35 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Participants on DTG-based ART (Assigned)
n=32 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Participants on RIF-INH TB Therapy (Assigned)
n=34 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
Oral Clearance (CL/F) of LNG
12.64 L/h
Interval 10.44 to 21.06
15.24 L/h
Interval 12.59 to 27.66
4.39 L/h
Interval 2.89 to 6.59
12.05 L/h
Interval 9.01 to 16.32

SECONDARY outcome

Timeframe: Intensive LNG PK samples at pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, and 48 hours post-dose

Population: Participants who took assigned dose of LNG and prescribed doses of background drugs (ART or TB treatment) and who had LNG PK concentrations available over the sampling time frame.

Vd for each participant was calculated from observed LNG concentration from LNG PK samples at pre-dose through 48 hours post-dose. Standard noncompartmental techniques were used to determine Vd using the software package Phoenix WinNonLin (Certara®).

Outcome measures

Outcome measures
Measure
A: LNG 1.5 mg Among Participants on EFV-based ART (Randomized)
n=17 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Participants on EFV-based ART (Randomized)
n=35 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Participants on DTG-based ART (Assigned)
n=32 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Participants on RIF-INH TB Therapy (Assigned)
n=34 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
Volume of Distribution (Vd) of LNG
276.70 L
Interval 118.28 to 411.82
294.92 L
Interval 208.7 to 489.52
169.05 L
Interval 93.83 to 215.16
156.31 L
Interval 105.26 to 247.2

SECONDARY outcome

Timeframe: Intensive LNG PK samples at pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, and 48 hours post-dose

Population: Participants who took assigned dose of LNG and prescribed doses of background drugs (ART or TB treatment) and who had LNG PK concentrations available over the sampling time frame.

T1/2 for each participant was calculated using regression analysis when possible from the observed LNG concentration from LNG PK samples at pre-dose through 48 hours post-dose. Standard noncompartmental techniques were used to determine T1/2 using the software package Phoenix WinNonLin (Certara®).

Outcome measures

Outcome measures
Measure
A: LNG 1.5 mg Among Participants on EFV-based ART (Randomized)
n=17 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Participants on EFV-based ART (Randomized)
n=35 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Participants on DTG-based ART (Assigned)
n=32 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Participants on RIF-INH TB Therapy (Assigned)
n=34 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
Half-life (T1/2) of LNG
12.05 hours
Interval 8.63 to 13.7
11.79 hours
Interval 10.58 to 13.8
24.03 hours
Interval 19.95 to 28.03
8.97 hours
Interval 6.72 to 11.89

SECONDARY outcome

Timeframe: Intensive LNG PK samples at pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, and 48 hours pose-dose

Population: Participants who took assigned dose of LNG and prescribed doses of background drugs (ART or TB treatment) and who had LNG PK concentrations available over the sampling time frame.

Tmin for each participant was time to the minimum observed LNG concentration after the observed dose.

Outcome measures

Outcome measures
Measure
A: LNG 1.5 mg Among Participants on EFV-based ART (Randomized)
n=17 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Participants on EFV-based ART (Randomized)
n=35 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Participants on DTG-based ART (Assigned)
n=32 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Participants on RIF-INH TB Therapy (Assigned)
n=34 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
Time of Minimum Concentration (Tmin) of LNG
47.07 hours
Interval 46.13 to 48.0
47.95 hours
Interval 46.13 to 48.0
47.61 hours
Interval 0.5 to 48.31
48.00 hours
Interval 46.55 to 48.0

SECONDARY outcome

Timeframe: Intensive LNG PK samples at pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 24 hours post-dose

Population: Participants who took assigned dose of LNG and prescribed doses of background drugs (ART or TB treatment) and who had LNG PK concentrations available over the sampling time frame.

AUC for each participant was calculated from all available LNG concentrations measured over 24 hours using the linear up/log down version of trapezoidal rule (i.e., noncompartmental technique) using the software package Phoenix WinNonLin (Certara®). This version of the trapezoidal rule used linear interpolation between untransformed data up to Cmax, and between log-transformed data from Cmax through Clast. Assay lower limit of quantification for LNG was 0.025 ng/mL; values \< LLOQ were imputed as 0 (if pre-dose) or as 0.0125 (if post-dose).

Outcome measures

Outcome measures
Measure
A: LNG 1.5 mg Among Participants on EFV-based ART (Randomized)
n=17 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Participants on EFV-based ART (Randomized)
n=35 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Participants on DTG-based ART (Assigned)
n=32 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Participants on RIF-INH TB Therapy (Assigned)
n=34 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
LNG Area Under the Concentration Time Curve (AUC0-24h) Calculated Based on Intensive LNG PK Samples Obtained From Individual Participants
81.64 hours * ng/mL
Interval 56.14 to 128.49
153.40 hours * ng/mL
Interval 100.13 to 190.48
157.56 hours * ng/mL
Interval 132.3 to 282.32
213.69 hours * ng/mL
Interval 148.64 to 283.22

SECONDARY outcome

Timeframe: Intensive LNG PK samples at pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, and 48 hours pose-dose

Population: Participants who took assigned dose of LNG and prescribed doses of background drugs (ART or TB treatment) and who had LNG PK concentrations available over the sampling time frame.

AUC for each participant was calculated from all available LNG concentrations measured over 48 hours using the linear up/log down version of the trapezoidal rule (i.e., noncompartmental technique) using the software package Phoenix WinNonLin (Certara®). This version of the trapezoidal rule used linear interpolation between untransformed data up to Cmax, and between log-transformed data from Cmax through Clast. Assay lower limit of quantification for LNG was 0.025 ng/mL; values \< LLOQ were imputed as 0 (if pre-dose) or as 0.0125 (if post-dose).

Outcome measures

Outcome measures
Measure
A: LNG 1.5 mg Among Participants on EFV-based ART (Randomized)
n=17 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Participants on EFV-based ART (Randomized)
n=35 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Participants on DTG-based ART (Assigned)
n=32 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Participants on RIF-INH TB Therapy (Assigned)
n=34 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
LNG Area Under the Concentration Time Curve (AUC0-48h) Calculated Based on Intensive LNG PK Samples Obtained From Individual Participants
98.95 hours * ng/mL
Interval 66.38 to 141.27
180.25 hours * ng/mL
Interval 106.87 to 216.75
224.81 hours * ng/mL
Interval 178.3 to 400.9
242.68 hours * ng/mL
Interval 181.56 to 321.98

SECONDARY outcome

Timeframe: Intensive LNG PK samples at pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, and 48 hours pose-dose

Population: Participants who took assigned dose of LNG and prescribed doses of background drugs (ART or TB treatment) and who had LNG PK concentrations available over the sampling time frame.

AUC for each participant was calculated from all available LNG concentrations measured to infinity hours using the linear up/log down version of trapezoidal rule (i.e., noncompartmental technique) using the software package Phoenix WinNonLin (Certara®). This version of the trapezoidal rule used linear interpolation between untransformed data up to Cmax, and between log-transformed data from Cmax through Clast. Assay lower limit of quantification for LNG was 0.025 ng/mL; values \< LLOQ were imputed as 0 (if pre-dose) or as 0.0125 (if post-dose).

Outcome measures

Outcome measures
Measure
A: LNG 1.5 mg Among Participants on EFV-based ART (Randomized)
n=17 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Participants on EFV-based ART (Randomized)
n=35 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Participants on DTG-based ART (Assigned)
n=32 Participants
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Participants on RIF-INH TB Therapy (Assigned)
n=34 Participants
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
LNG Total Area Under the Concentration Time Curve AUCinf (Infinity) Calculated Based on Intensive LNG PK Samples Obtained From Individual Participants
118.71 hours * ng/mL
Interval 71.23 to 143.69
196.83 hours * ng/mL
Interval 108.48 to 238.24
345.80 hours * ng/mL
Interval 227.8 to 518.69
248.96 hours * ng/mL
Interval 183.87 to 333.05

Adverse Events

A: LNG 1.5 mg Among Women on EFV-based ART (Randomized)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

B: LNG 3.0 mg Among Women on EFV-based ART (Randomized)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

C: LNG 1.5 mg Among Women on DTG-based ART (Assigned)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

D: LNG 3.0 mg Among Women on RIF-INH TB Therapy (Assigned)

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
A: LNG 1.5 mg Among Women on EFV-based ART (Randomized)
n=17 participants at risk
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Women on EFV-based ART (Randomized)
n=36 participants at risk
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Women on DTG-based ART (Assigned)
n=35 participants at risk
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Women on RIF-INH TB Therapy (Assigned)
n=34 participants at risk
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
Nervous system disorders
Epilepsy
0.00%
0/17 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
0.00%
0/36 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
0.00%
0/35 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
2.9%
1/34 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition

Other adverse events

Other adverse events
Measure
A: LNG 1.5 mg Among Women on EFV-based ART (Randomized)
n=17 participants at risk
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
B: LNG 3.0 mg Among Women on EFV-based ART (Randomized)
n=36 participants at risk
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
C: LNG 1.5 mg Among Women on DTG-based ART (Assigned)
n=35 participants at risk
Participants received 1.5 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
D: LNG 3.0 mg Among Women on RIF-INH TB Therapy (Assigned)
n=34 participants at risk
Participants received 3 mg of LNG once orally on Day 0 and were followed post-treatment for 4 weeks.
Gastrointestinal disorders
Abdominal pain
0.00%
0/17 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
0.00%
0/36 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
0.00%
0/35 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
2.9%
1/34 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
Gastrointestinal disorders
Abdominal pain lower
0.00%
0/17 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
0.00%
0/36 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
0.00%
0/35 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
2.9%
1/34 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
Gastrointestinal disorders
Nausea
0.00%
0/17 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
0.00%
0/36 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
2.9%
1/35 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
5.9%
2/34 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
Nervous system disorders
Headache
0.00%
0/17 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
0.00%
0/36 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
0.00%
0/35 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
2.9%
1/34 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
Reproductive system and breast disorders
Heavy menstrual bleeding
5.9%
1/17 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
0.00%
0/36 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
0.00%
0/35 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
2.9%
1/34 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
Reproductive system and breast disorders
Intermenstrual bleeding
0.00%
0/17 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
0.00%
0/36 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
0.00%
0/35 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
2.9%
1/34 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
Reproductive system and breast disorders
Menstrual discomfort
0.00%
0/17 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
0.00%
0/36 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
0.00%
0/35 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition
2.9%
1/34 • From study entry to study completion at Day 28 or premature study discontinuation.
The DAIDS AE Grading Table (V2.1) and Addendum 1, Female Genital Grading Table for Use in Microbicide Studies, Version 1.0 - November 2007 were used. AEs were recorded on the case report forms (CRFs) if any of the following criteria had been met: * All Grade ≥3 AEs considered potentially or definitely related to LNG * All Grade ≥2 nausea, diarrhea, menorrhagia, or metrorrhagia * Ectopic pregnancy * All AEs meeting Serious Adverse Event (SAE) definition

Additional Information

ACTG Clinicaltrials.gov Coordinator

ACTG Network Coordinating Center, Social and Scientific Systems, a DLH Holdings Company.

Phone: (301) 628-3348

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place